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Abstract

Objective

We sought to identify an abbreviated test of impaired olfaction amenable for use in busy clinical environments in prodromal (isolated REM sleep behavior disorder [iRBD]) and manifest Parkinson disease (PD).

Methods

Eight hundred ninety individuals with PD and 313 controls in the Discovery cohort study underwent Sniffin’ Stick odor identification assessment. Random forests were initially trained to distinguish individuals with poor (functional anosmia/hyposmia) and good (normosmia/super-smeller) smell ability using all 16 Sniffin’ Sticks. Models were retrained using the top 3 sticks ranked by order of predictor importance. One randomly selected 3-stick model was tested in a second independent PD dataset (n = 452) and in 2 iRBD datasets (Discovery n = 241, Marburg n = 37) before being compared to previously described abbreviated Sniffin’ Stick combinations.

Results

In differentiating poor from good smell ability, the overall area under the curve (AUC) value associated with the top 3 sticks (anise/licorice/banana) was 0.95 in the Development dataset (sensitivity 90%, specificity 92%, positive predictive value 92%, negative predictive value 90%). Internal and external validation confirmed AUCs ≥0.90. The combination of the 3-stick model determined poor smell, and an RBD screening questionnaire score of ≥5 separated those with iRBD from controls with a sensitivity, specificity, positive predictive value, and negative predictive value of 65%, 100%, 100%, and 30%.

Conclusions

Our 3-Sniffin’-Stick model holds potential utility as a brief screening test in the stratification of individuals with PD and iRBD according to olfactory dysfunction.

Classification of Evidence

This study provides Class III evidence that a 3-Sniffin’-Stick model distinguishes individuals with poor and good smell ability and can be used to screen for individuals with iRBD.

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Information & Authors

Information

Published In

Neurology®
Volume 96Number 15April 13, 2021
Pages: e2016-e2027
PubMed: 33627500

Publication History

Received: April 15, 2020
Accepted: January 15, 2021
Published online: February 24, 2021
Published in print: April 13, 2021

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Disclosure

Dr. Lo was funded by the Oxford NIHR BRC. Dr. Lo and Dr. Arora are coapplicants on a patent application related to smartphone predictions in PD (PCT/GB2019/052522) pending. Dr. Ben-Shlomo is Higher Education Funding Council for England funded and receives research support from the NIHR, MRC, and Gatsby Foundation. Dr. Barber was funded by a Wellcome Trust Doctoral Training Fellowship. Mr. Lawton was funded by Parkinson's UK through the Oxford Parkinson's Disease Centre. Dr. Klein acknowledges support from the NIHR Oxford Health Clinical Research Facility. Sofia Kanavou, Dr. Janzen, and Elisabeth Sittig report no disclosures. Dr. Oertel has served as a consultant on advisory boards or as a speaker at scientific symposia for Adamas, Bial Pharma, Desitin, Eisai, Roche, and UCB Pharma. He is supported by the Charitable Hertie Foundation and has received funding from the Deutsche Forschungsgemeinschaft, the Michael J. Fox Foundation, and the Parkinson Fonds Deutschland. Dr. Grosset has received honoraria from UCB Pharma, Acorda, and BIAL Pharma. Dr. Grosset serves as a consultant for GE Healthcare and Merz Pharma and reports funding from Michael's Movers, Parkinson's France, and Parkinson's UK. Dr. Hu has received funding and support from Parkinson's UK, Oxford NIHR BRC, University of Oxford, NIHR, Lab10X, Michael J. Fox Foundation, H2020 European Union, GE Healthcare, and the PSP Association. She also received payment for Advisory Board attendance/consultancy for Biogen, Roche, CuraSen Therapeutics, Evidera, and Manus Neurodynamica. Dr. Hu is a coapplicant on a patent application related to smartphone predictions in PD (PCT/GB2019/052522) pending. Go to Neurology.org/N for full disclosures.

Study Funding

This study was funded by the Monument Trust Discovery Award from Parkinson's UK (J-1403) and supported by the Oxford National Institute for Health Research (NIHR) Biomedical Research Center (BRC). The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR, or the Department of Health.

Authors

Affiliations & Disclosures

Christine Lo, DPhil, MRCP https://orcid.org/0000-0002-5671-3881
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
NONE
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
Movement Disorders Society Travel grant to attend the Movement Disorders Society Congress in Hong Kong in October 2018
Editorial Boards:
1.
NONE
Patents:
1.
Co-applicant on a patent application related to using smartphone tests of motor function to predict clinical outcomes in Parkinson’s (PCT/GB2019/052522) pending.
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
Salary funded by the National Institute for Health Research Oxford Biomedical research centre. Employed as clinical research fellow from July 2017 to present.
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
NONE
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
Siddharth Arora, BTech, DPhil
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
NONE
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
NONE
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
NONE
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
Parkinson's UK
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
Yoav Ben-Shlomo, PhD, MRCP https://orcid.org/0000-0001-6648-3007
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
1. Chair of TSC for the REACT trial (non-profit entity) 2. Member of TSC for the AIM HY INFORM study (non-profit entity) 3. Member of TSC for the SIMPLIFIED RCT(non-profit entity)
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
(1) Recieve payment for a teaching session on the Birmingham Movement Disorders course on the epidemiology of PD (non-profit entity)
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
Co-edit a book called
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
(1) Hong Kong General Research Fund (GRF) Early Career Scheme (ECS) Employment Conditions and Health among Female Foreign Domestic Workers in Hong Kong. A Cross- sectional Quantitative Survey. Research Grants Council (RGC) 24614518; 01/01/2019 – 31/12/2020; $889,984 (HKD). PI: Roger Yat-Nork Chung, Co-I: Yoav Ben-Shlomo; Sabu Padmadas; Eric Fong; Tim Liao; Petula Sik Ying Ho (2) NIHR Health Technology Assessment Programme Henderson E, Ben-Shlomo Y, Hollingworth W, Metcalfe C, Steeds D, Whone A. A phase III trial of Rivastigmine to prevent falls in Parkinson's Disease: CHIEF PD (CHolinesterase Inhibitor to prEvent Falls in Parkinson’s Disease). Total award £2,545,636.88 Duration 51 months starting 01/01/2019 (3) MRC Dementia Momentum award Ben-Shlomo Y, Coulthard EJ, Craddock I, Newson M, Santos- Rodriguez R. ContinUous behavioUral Biomarkers Of cognitive Impairment (CUBOId) £817,000 over 36 months (01/04/2017-01/04/2020). (4) NIHR Health Technology Assessment Programme Caskey F, Chilcot J, Ben-Shlomo Y, Salisbury C, Abbott D, Coast J, Donovan J, Burns A, Murphy E, Murtagh F, Huxtable R, Davies SJ, Rayner H, Farrington K, Rooshenas L, Roderick P, MacNeil S, Gibson A, Lane A. The Prepare Multi-Morbid Older People for End-stage Kidney Disease Trial (PrepareME) £2,818,119.12 01/01/2017 to 31/12/2021 (60 months) (5) NIHR Health Technology Assessment Programme Caskey F, MacNeil S, May M, Lane A, Hollingworth W, Ben- Shlomo Y, Donovan J, Rooshenas L, Abbott D, Farrington K, Davenport A, Wheeler D, Power A, Mitra S. The High-volume Haemodiafiltration vs High-flux Haemodialysis Registry Trial (H4RT) £1,738,553.78 01/01/2017 to 31/12/2021 (6) NIHR Health Technology Assessment Programme Rai D, Ben-Shlomo Y, Davies N, Evans J, Gunnell D, Jackson R, Martin R, Morris R. Antidepressant use during pregnancy: assessing benefits to mothers and long-term neurodevelopmental risks to children using the Clinical Practice Research Datalink. £301,424 Nov 2016 – Nov 2018.
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
(1) Parkinson’s UK Tracking Parkinson’s: The long term development and analysis of the Parkinson’s repository of biomarkers and networked datasets Award amount £1,517,866.25 (48 months) Applicants: Grossett D, Bajaj N, Barker RA, Ben-Shlomo Y, Burn D, Foltynie T, Morris H, Williams N, Wood N. Start date Nov 2016-Nov 2020 (2) The Alberta Centre for Child Family and Community Research Relationship between lifestyle behaviours, social determinants of health, and mental health in Canadian immigrants across the life span. $40,000 over 12 months (01/03/2016 to 01/03/2017) Applicants Bukola Salami (PI); Kathleen Hegadoren (Co- PI); Leonelo Bautista; Esperanza Diaz; Anu Rammohan; Yoav Ben-Shlomo; Salima Meherali; Yvonne Chiu; Christina Nsaliwa; (3) Kidney Research UK Bailey P, Caskey F, Ben-Shlomo Y, MacNeill S. What factors explain the association between socioeconomic deprivation and a reduced likelihood of live-donor kidney transplantation? A questionnaire based case-control study (2017; £43,855 over 1 year) (4) Gatsby Foundation: Henderson E, Ben-Shlomo Y, Hollingworth W, Metcalfe C, McCarthy E. Proactive and Integrated Management and Empowerment in Parkinson’s Disease (PRIME-PD). €3,220,000 (£2,869,000) Duration eight years starting 1st Jan 2019
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
Thomas R. Barber, DPhil, MRCP https://orcid.org/0000-0003-4850-9677
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
NONE
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
NONE
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
NONE
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
The Wellcome Trust
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
NONE
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
NONE
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
NONE
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
(1) Parkinson's UK fund the study I work on and in effect pay my salary Stock/Stock Options, Medical Equipment & Materials: (1) Risk Based Approach Ltd., 2017-2020
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
Johannes C. Klein, MD, PhD https://orcid.org/0000-0002-8553-2801
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
NONE
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
NONE
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
Dr Klein has received royalties for the book Diseases of the Spinal Cord: Novel Imaging, Diagnosis and Treatment, Springer 2015.
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
J.C.K. is supported by the National Institute for Health Research (NIHR) Oxford Health Clinical Research Facility.
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
NONE
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
Sofia Kanavou, MSc
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
NONE
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
NONE
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
NONE
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
NONE
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
Annette Janzen, MD
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
NONE
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
NONE
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
My husband: grant of the German Research Foundation (DFG)(no relationship to the published study)
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
Grant of the Parkinsonfonds Germany, Unter den Linden 10, 10117 Berlin, Germany (no relationship to the published study)
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
Elisabeth Sittig, SN
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
NONE
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
NONE
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
NONE
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
NONE
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
(1) Adamas (2) Roche (3) UCB (4) Modag
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
(1) Desitin (2) Bial (3) Abbvie (4) Roche
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
(1) Adamas (2) Modag
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
My research team: Hoffmann La Roche: experimental neuroscience (development of a prodromal PD model in mice)
Research Support, Government Entities:
1.
International Research Training Graduate School Canada Germany (German Research Foundation) for
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
(1) Michael J Fox Foundation, USA (2) Stichting Parkinson Foundation, The Netherland (3) ParkinsonFonds Deutschland, Germany (4) WH Oertel is Hertie Senior Research Professor supported by the Charitable Hertie Foundation, Frankfurt, Germany Stock/Stock Options, Medical Equipment & Materials: (1) Biogen since 2014 (2) Medigene since 2009 (3) Merck Darmstadt since 2010 (4) Morphosys since 2018 (5) Roche since 1998 (6) Biontech since 2020
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
Donald G. Grosset, MD
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
(1) PDSTAT trial of simvastatin in Parkinson's (2) UPSTUDY ursodeoxycholic acid in Parkinson's (3) ODYSSEY gadolinium safety study
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
(1) Oruen/Britannia Pharmaceuticals, honorarium (2) BIAL Pharma, honorarium
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
(1) The Glasgow Memory Clinic
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
(1) Parkinson's UK, J1101, 2010-2022
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
NONE
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE
Michele T. Hu, PhD, FRCP https://orcid.org/0000-0001-6382-5841
From the Oxford Parkinson's Disease Centre (C.L., S.A., T.R.B., J.C.K., M.T.H.), Nuffield Department of Clinical Neurosciences (C.L., T.R.B., J.C.K., M.T.H.), and Saïd Business School (S.A.), University of Oxford; Population Health Sciences (Y.B.-S., M.L., S.K.), University of Bristol, UK; Department of Neurology (A.J., E.S., W.H.O.), Philipps University Marburg; Institute for Neurogenomics (W.H.O.), München Helmholtz Center for Health and Environment, Neuherberg München, Germany; and Institute of Neurological Sciences (D.G.G.), Queen Elizabeth University Hospital, Glasgow, UK.
Disclosure
Scientific Advisory Boards:
1.
(1) Commercial or non-profit entity: Roche Prodromal Advisory Board, Biogen Digitals Advisory Board, MJFF Digital Health Assessment Board
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
NONE
Editorial Boards:
1.
NONE
Patents:
1.
Patent pending: related to smartphone predictions in Parkinson’s(PCT/GB2019/052522)
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
(1) Commercial or non-profit entity- CuraSen Therapeutics, Evidera, Biogen, Roche, Manus Neurodynamica
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
(1) Commercial entity- Celgene project grant
Research Support, Government Entities:
1.
(1) National Institute for Health Research (NIHR) Oxford Biomedical Research Centre based at Oxford University Hospitals NHS Trust and University of Oxford, Project grant: Neurological conditions sub-theme, Clinical Fellowship Salary and consumables support, 2018 - ongoing
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
(1) Parkinson's UK Monument Trust Discovery Award, 2010-2020, Grant Number J-1403 (2) Michael J Fox Foundation (3) Cure Parkinson's Trust (4) Lab10X (5) H2020 European Union (6) GE Healthcare (7) PSP Association
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE

Notes

Correspondence Dr. Lo [email protected]
Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

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